Claim Operations Associate -- California Workers' Compensation

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow.

At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best.

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Great American's Strategic Comp division is currently seeking a Claim Operations Associate to support our growing Claim Operations department. This is a work from home opportunity for candidates located in California or the Pacific Time Zone. This is a non-exempt/hourly position with a schedule of 8:00 a.m. to 4:30 p.m PT Monday-Friday.

RESPONSIBILITIES

• Demonstrates beginner to intermediate knowledge of the claims operations and the ability to address simple requests and complaints received via telephone, email, or voicemail, with some guidance

• Expands upon and employs problem-solving skills and learns the investigative methods needed to actively seek information required to resolve inquiries and issues

• Accepts and resolves call center calls and utilizes call center software

• Learns to identify discrepancies in information gathered

• Refers non-routine/complex issues to manager or more experienced staff

• Becomes familiar with and utilizes multiple computer systems for policy analysis, claim management, data management, reporting, and productivity

• Learns to utilize ClaimConnect, ClaimCenter, OpsNow, and Outlook to track workload, manage activities, remain organized, and timely

• May learn to execute basic claim setup and entry, coverage verification, and financial transactions

• May assist with and/or create general correspondence

• Maintains a professional demeanor in all situations

• Performs all other duties and tasks as assigned

• Works productively under close supervision; relies on instructions and pre-established guidelines to perform the functions of the job

QUALIFICATIONS
Education, Experience, Location & Availability:

• High school diploma is required

• Related California billing claims assistant, claims processing or claims operations support experience is required

• California workers' compensation claims experience is preferred

• Location within California or the Pacific Time Zone is required

• Must be available to work hours of 8:00 a.m. to 4:30 p.m. Pacific Time, Monday-Friday

Additional Skills and Competencies:

• Excellent communication skills in both written and verbal form is required

• Must be able to work with accuracy and speed with a variety of internal and external contacts

• Must be self-motivated as this is a work-from-home position

Physical Requirements:

• Sedentary (requires prolonged sitting, continuous use of computer)

Business Unit:

Salary Range:

Benefits:

Compensation varies by role, position level, and location. Individual pay is influenced by skills, education, training, certifications, experience, and the role's scope and complexity, along with business needs.

We offer a competitive Total Rewards package, including medical, dental, and vision plans starting on day one, PTO, paid holidays, commuter benefits, an employee stock purchase plan, education reimbursement, paid parental leave/adoption assistance, and a 401(k) plan with company match. These benefits are available to eligible full-time and part-time employees.

Your recruiter can provide more details about our total rewards and specific compensation ranges during the hiring process.